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INFORMATION

AccentCare can be your resource for learning more about home healthcare.

We know that home healthcare can be a little confusing, especially if you haven’t needed such services before. That’s why we’ve provided the following resources to help you assess your individual needs and learn more about your options.

Rather talk? Call us at 800-834-3059 and we will help walk you through it!

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FREQUENTLY ASKED QUESTIONS

Home Healthcare
What is Home Healthcare?

Home healthcare services can include a range of in-home medical care to help manage recovery, a chronic condition or pain, as well as non-medical services that provide assistance in managing safety and independence… all in the comfort of home. These services can include:

  • Skilled Nursing
  • Therapy
  • Personal Care Services
  • Hospice Care
  • Private Duty Nursing

AccentCare works with you and your physician to create a care plan to help you optimize your health and independence at home.

Skilled Home Healthcare
What is Skilled Home Healthcare?

Skilled home healthcare services include in-home nursing and therapy services for those recovering from illness or surgery, or managing a chronic condition. Services are provided by licensed professionals based on individual needs. Our skilled home healthcare services focus on helping you achieve your optimal levels of health and independence wherever you call home, while helping to reduce unplanned re-hospitalizations and emergency room visits.

What services are offered?

A plan of care is developed based on your individual needs, and may include:

  • Skilled Nursing
    • Assessment and observation
    • Health procedures
    • Teaching and training regarding your care plan
    • Management and evaluation
    • Palliative care
    • Behavioral healthcare (including Late Life Depression and Dementia)
  • Rehabilitative Therapies
    • Physical Therapy
    • Occupational Therapy
    • Speech Therapy
Who is it for?

Skilled home healthcare services are for anyone recovering from illness or surgery, or managing a chronic condition, such as CHF, COPD, Diabetes, or Late Life Depression.

How do I know if Skilled Home Healthcare is right for me?

To receive skilled home healthcare, a physician must certify the need for such care and that the patient is homebound. “Homebound” does not mean that a patient is bed-ridden. It simply means that a patient can’t currently leave home because of illness or injury without “considerable and taxing effort”. If you think you or a loved one could benefit from home health services, talk to your physician.

Who pays for it?

Skilled home healthcare services are typically covered by Medicare. For those who do not yet have Medicare benefits, other forms of payment such as private insurance or Medicaid may be applicable.

What can I expect on the first Skilled Home Healthcare visit?

A clinician will make a home visit at a time and date scheduled for your convenience. During the visit, the nurse will make assessments and review information such as medications, physician orders and the plan of care. In addition, we review our Alert Your Nurse® program to help ensure that patients understand how to monitor their specific condition(s) and how to reach a nurse if needed.

What qualifies as “home” in skilled home healthcare?

“Home” is simply where you live … a personal residence, assisted or independent living community, nursing home or wherever you call home.

Can I ask for AccentCare by name?

Absolutely. Your right to choose any provider involved in your healthcare is a right that is protected by law. Just ask your doctor or hospital discharge planner about home healthcare services, and let them know you’d like to use AccentCare, if you prefer our services. We’d be honored to serve you.

Why AccentCare?
  • Company’s overall STAR Ratings far exceed the ratings distribution for the overall home health industry as measured by the Centers for Medicare and Medicaid (CMS). CMS mandated these ratings to help patients and their families make better and more informed choices about home healthcare providers.
  • Proprietary programs with proven outcomes for chronic conditions such as Heart Failure (CHF), COPD, Diabetes, Joint Rehabilitation and Late Life Depression.
  • Specialized programs for Veterans, Palliative Care and Behavioral Health
  • Effective use of technology for safely and efficiently capturing and communicating data
  • Trained staff with over 200 mandatory learning modules and supported continued education
  • Interdisciplinary team approach to better serve the patient and family
  • Highly diversified range of post-acute care services in 10 states, giving us a wealth of experience that is shared across our entire company and delivered in your local community
  • Many offices have achieved Home Care Elite status, a recognition of the top-performing skilled home health agencies in the United States
Personal Care Services
What are Personal Care Services?

Personal care services are designed to lend an extra helping hand with daily activities such as bathing and dressing, or meal preparation (also known as Activities of Daily Living, or ADLs). Our services are customized to fit your individual needs, and can be delivered in whatever frequency you need… a single or routine visit or with full-time or live-in assistance.

What services are offered?
  • Bathing
  • Dressing
  • Grooming
  • Transportation
  • Meal preparation
  • Light housekeeping
  • Medication reminders
  • Assistance with incontinence
  • Transferring/in-home mobility assistance
Who are Personal Care Services for?

Personal care services are for anyone who could use extra help with daily tasks in order to remain more independent at home.

Who provides the services?

All of our services are provided by dedicated Care Partners, personal care attendants, all of whom are trained and background-checked for your security and peace of mind. We’ll work with you to identify the Care Partner who may be the best match for you and your individual needs.

How do I know if personal care services is right for me?

If you or a loved one needs help with a simple activity of daily living that is a barrier to independence, or if you are feeling overwhelmed with completing daily tasks, personal care services could be right for you. If you think personal care services may be right for you or someone in your life, give us a call at 1-800-834-3059.

Who pays for it?

Personal care services are often covered through private pay or private insurance plans including long-term care (LTC) policies. These services may also be covered through VA benefits or Medicaid (known as Medi-Cal in California). If you have additional questions about paying for personal care services, AccentCare’s Concierge Service can help. Call us at 1-800-834-3059.

Why AccentCare?
  • Our Care Partners are trained and background-checked for your peace of mind and security
  • We provide a free, comprehensive in-home assessment when service begins
  • All of our care plans are customized to fit your individual needs
  • We conduct continuous reviews to help ensure your needs are met
Hospice Care
What is Hospice care?

Hospice care is specialized, compassionate care to help individuals live out their days with peace, comfort, dignity and respect. Hospice does not mean giving up hope, but instead allows patients and their families to make the most of their time together, with a focus on quality of life. Hospice care is often misunderstood, underutilized or not utilized early enough for patients and families to receive full benefits.

Who is eligible for Hospice care?

Hospice care is available for individuals who have a terminal illness, and have a life expectancy of six months or less, as determined by their physician.

What services are offered?

Our hospice services are designed around the individual’s needs and wishes, and may include:

  • Pain and symptom management
  • Massage and music therapy
  • Medications related to terminal illness
  • End-of-life planning
  • Bereavement support
  • Vet-to-Vet-Volunteer Program in the We Honor Veterans program
Who is Hospice care for?

Hospice care is for anyone who is suffering from a terminal illness with a life expectancy of six months or less and is no longer seeking curative care. This care offers discomfort management as well as emotional and spiritual support. The support not only benefits the patient, but provides ongoing care and assistance for the patient’s loved ones as well. This allows the patient and their loved ones to focus on making the most of their time together.

Where do I go for Hospice care?

AccentCare offers hospice services in the familiar surroundings of wherever the patient calls home. This includes a personal residence, nursing home, assisted living community or independent living community.

How do I pay for Hospice care?

Hospice is generally covered by Medicare and most commercial insurance plans as well. In addition, some patients may qualify for coverage through Medicaid or VA benefits. Our hospice consultants are available to help patients and families understand eligibility, services and coverage. Call us at 1-800-834-3059 so we can connect you with a hospice consultant in your area.

Who provides Hospice care?
  • The patient is surrounded by a hospice care team that works with the patient’s attending physician. That team includes a medical director, nurse case manager, hospice aide, bereavement coordinator, spiritual care coordinator, social worker and volunteers.
  • AccentCare partners with We Honor Veterans to provide specialized care for our Veterans, with the hospice care team’s inclusion of Veteran volunteers who participate in our Vet-to-Vet Program.
Common Hospice myths
  • Myth: Hospice is only for the last few days of life.
    Fact: The hospice benefit is designed to assist patients during the last six months of life. Most patients and their families, when surveyed, indicate they wish they’d elected the benefit earlier.
  • Myth: Hospice does not allow patients to continue to have a relationship with their primary care physicians.
    Fact: Hospice programs encourage an ongoing relationship between the primary care physician (PCP) and the patient.
  • Myth: Patients on hospice cannot receive treatments of any kind.
    Fact: The focus of hospice care is comfort for the patient. Any treatment required for the patient’s comfort may be an option.
  • Myth: The hospice benefit ends when the patient dies.
    Fact: A very important part of the hospice benefit is the bereavement service offered to the family after the patient passes. The family continues to receive bereavement services for at least one year after the loss of their loved one.
  • Myth: Hospice is not available in one’s home.
    Fact: Hospice services are available to patients wherever they call home.
  • Myth: Hospice means the patient must give up hope.
    Fact: The hospice team respects the patient’s wishes when developing the hospice plan of care. A sense of hope can continue throughout the patient’s care plan. By providing comfort to patients and their families, hospice care helps enable life to be lived to the fullest.
  • Myth: Hospice will “take over” and the patient will have no control.
    Fact: Hospice respects all wishes, desires, cultures, backgrounds and religious beliefs. Both the patient and the family are integral to decisions regarding the plan of care.
  • Myth: The patient must have an Advance Directive to elect the hospice benefit.
    Fact: A DNR or Advance Directive is not required for hospice admission.
  • Myth: Once a patient chooses hospice, the services cannot be revoked.
    Fact: Patients may revoke the hospice benefit at any time without affecting the ability to receive future hospice services.
  • Myth: Only physicians can refer to Hospice.
    Fact: Anyone can make a referral to hospice, however, before the start of care, a physician has to certify that the patient has a life-limiting illness with a prognosis of six months or less, should the illness run its normal course.
  • Myth: The patient must have a primary caregiver to be eligible for hospice.
    Fact: Having a primary caregiver is not a requirement to be eligible for hospice. When the patient has no primary caregiver, the hospice team works with the patient to plan for additional resources as his or her needs increase.
  • Myth: To receive hospice services, a patient must have a home and/or must be homebound.
    Fact: Hospice services are available to any person eligible for the hospice benefit regardless of his or her living situation, wherever he or she calls home.
  • Myth: Hospice patients in nursing homes are not eligible for hospice.
    Fact: Hospice services are available to patients wherever they reside, including private residences, nursing homes, assisted living communities and residential care homes.
  • Myth: Only cancer patients are suitable for hospice.
    Fact: Patients with ANY disease causing a life-limiting prognosis may be eligible for hospice services.
Why AccentCare?
  • Interdisciplinary team specializes in assisting the patient and family with end-of life-care and planning
  • Available 24 hours a day, 7 days a week, with nurses on call after normal business hours
  • Pain evaluated on every visit
  • Specialized program for Veterans, focusing on their unique needs
  • Offices accredited for having met the standards of excellence defined by CHAP (Community Health Accreditation Partner).
Private Duty Nursing
What is Private Duty Nursing?

Private Duty Nursing is care provided by a skilled nurse or qualified home health aide, under the supervision of a Registered Nurse.

What conditions are served by Provide Duty Nursing?

Private duty nursing may serve a wide variety of conditions, including but not limited to the following:

  • Catastrophic Injury Care
    • Spinal Cord Injuries
    • Brain-impairment
  • Severe Lung Disease Care
    • Ventilator Management
    • Tracheostomy Care
    • Oxygen Therapy
  • Care for:
    • Neuromuscular Disease
    • Seizure Disorders
    • Cardiovascular Disease
    • Central Nervous System Disorders
    • Endocrine, Metabolic Disorders
    • Gastrointestinal Disorders
    • Stroke
    • Alzheimer’s (Dementia)
What Private Duty Nursing services are offered?

Private duty nursing services include, but are not limited to:

  • Pediatric Care
  • TPN Infusion Therapies
  • Cardiovascular and Respiratory Monitoring
  • Ostomy Care and Management
  • Enteral Feeding Management
  • Post-operative Care
  • Diabetic Care and Management
  • Catheter Change and Management
  • Post-Stroke Care
  • Medication Administration and Management
  • Respite, Crisis and Continuous Home Care
  • RN Care Management
Who is Private Duty Nursing it for?

Children, adults and geriatric patients who need ongoing assistance to manage healthcare needs.

Who pays for Private Duty Nursing?

Payment options for private duty nursing may include private pay, private insurance, workers’ compensation, school districts, federal insurers, long-term care policies, trust funds or Medicaid (known as “Medi-Cal” in California).

Can I ask for AccentCare by name?

Absolutely. Your right to choose any provider involved in your healthcare is a right that is protected by law. Just ask your doctor or discharge planner about home healthcare services, and let them know you’d like to use AccentCare, if you prefer our services. We’d be honored to serve you.

Why AccentCare?
  • Licensed and certified home health agency that provides quality in-home private duty nursing designed to meet the individual needs of each patient and family we serve.
  • Long-term and short-term shift care and skilled home healthcare visits
  • Skill-tested and competency-trained staff
  • RN staff supervision
  • RN Care Management
  • Available 24 hours a day, 7 days a week
  • After hours on-call service line
  • Personnel are background-checked, workers’ compensation-insured and bonded
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RIGHT PATH CHRONIC CARE PROGRAMS:

Our Right Path® Programs for Chronic Condition Management Living with a chronic condition can be overwhelming. Our proprietary RightPath programs focus on your unique needs, and help you manage your condition, while optimizing health and independence wherever you call home. The programs are guided by expert clinical guidelines and evidence based practices that complement physicians’ orders. Patient outcomes rank above national averages for many measures including lower unplanned re-hospitalization rates.

Cardiac Care
  • Patients with congestive heart failure (CHF) often suffer from symptoms that interfere with daily life, such as shortness of breath, fatigue and weakness. Our RightPath® CHF program may help improve these symptoms so that patients are able to live more comfortably while managing their condition.
  • For CHF Medicare patients, our program reports a 10.2% unplanned re-hospitalization rate versus the average (26.9%) as measured by Stone and Hoffman. In fact, AccentCare patients show improvement in breathing and improvement in ambulation for a higher percentage of patients than the average for all home health companies.
  • Our Cardiac Program includes:
    • Clinical pathways for congestive heart failure and heart disease
    • Peak flow testing and action planning for reactive airway conditions
    • Individualized care plans
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Tele-monitoring
    • Care transition and coordination support
    • Patient and family education on medication, nutrition and self-management
COPD
  • Living with COPD (Chronic Obstructive Pulmonary Disease) can require daily management. Our RightPath® COPD program can help manage symptoms and improve ambulation.
  • As measured by Strategic Health Programs (SHP), 81% of patients in our program show improvement in breathing versus the average of all home health companies (66%). In addition, AccentCare reports improved ambulation and lower unplanned re-hospitalization rates for COPD patients that exceed national averages.
  • Our COPD program includes:
    • Clinical Pathway specific to COPD management
    • Peak flow testing and action planning for reactive airway conditions
    • Medication management
    • Individualized care plans
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Tele-monitoring
    • Care transition and coordination support
    • Patient and family education on medication, nutrition and self-management
Diabetes
  • We understand that diabetes requires constant monitoring and management. Diabetes can often lead to other medical conditions such as hypertension and COPD, which are leading causes for re-hospitalization.
  • Our RightPath® Diabetes program reports unplanned re-hospitalization and emergent care hospitalization rates that are below the national average of home health companies as measured by Strategic Health Programs (SHP).
  • We monitor symptoms while maintaining compliance with disease management principles to help ensure diabetic patients have optimal outcomes.
  • Our diabetes program includes:
    • Prevention, detection and treatment of complications
    • Clinical Pathways specific to Diabetes Management
    • Medication management
    • Individualized care plans
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Tele-monitoring
    • Care transition and coordination support
    • Patient and family education on medication, nutrition and self-management
Joint Rehabilitation
  • For patients who have recently undergone joint replacement, AccentCare has developed the Right Path® Program for Joint Rehabilitation to help address their specific postoperative needs.
  • This program has reported improved outcomes for a higher percentage of patients than the national average of home health companies as measured by Strategic Health Programs (SHP). These outcomes include pain reduction, improved ambulation, improved status of surgical wounds and decreased unplanned re-hospitalization rates.
  • As measured by Strategic Health Programs (SHP), 89% of patients in our program report pain reduction versus the average of all home health companies (67%). In addition, AccentCare reports improved status of surgical wounds, improved ambulation and lower unplanned re-hospitalization rates for at a higher percentage of joint rehabilitation patients than the national average for all home health companies.
  • The program includes:
    • Surgical wound management
    • Pain management
    • Medication management
    • Patient and family education on safety, balance and exercise
    • Individualized care plans focused on therapeutic intervention
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Tele-monitoring
    • Care transition and coordination support
Late Life Depression
  • Caring for a loved one who is showing signs of depression can be difficult for families and caregivers. Despite the prevalence of late-life depression among seniors, it is a condition that often goes undiagnosed. Symptoms of late-life depression including changes in weight, tearfulness or increased sadness, apathy toward previously enjoyed activities, increased anxiety, increased confusion and misuse of pain or anxiety medication.
  • Our Right Path® Late Life Depression program has helped to reduce symptoms of depression and anxiety for more than 80% of our patients.
  • The program includes:
    • Experienced Behavioral Health Nurses who specialize in depression management
    • Medication management
    • Individualized care plans
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Tele-monitoring
    • Care transition and coordination support
    • Patient and family education on medication and self-management strategies
    • Ongoing communication with the patient, their physician and their loved ones
Palliative Care
  • Palliative care is specialty care for individuals living with a chronic illness, focused on relief from pain and symptoms while supporting emotional and social well-being. If you or a loved one has an advanced chronic illness such as heart failure, cancer, diabetes or COPD, you may benefit from palliative care at home. Our Right Path® Palliative Care program blends curative and comfort treatments to meet the individual’s goals of care. The program includes:
    • Comfort of the mind and body through active pain/symptom management, emotional and spiritual support
    • Advanced care planning to assist you in developing your goals for care and choices for treatment
    • Individualized care plans to address physical, emotional and spiritual needs based on your personal wishes
    • Patient and family education to enable you to participate in your self-care and make the best lifestyle choices to optimize day-to-day health
    • Medication management
    • Tele-monitoring
    • Care coordination to support changing priorities and needs during care transitions
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SPECIALIZED PROGRAMS

AccentCare offers specialized programs to further enhance the patient experience. Our specialized programs focus on your unique needs to help optimize health and independence wherever you call home. The programs are guided by best practices that complement physicians’ orders.

Stroke

More than 70,000 people suffer a stroke (Cerebrovascular Accident or CVA) each year, with more than two-thirds of the survivors requiring rehabilitation.1 AccentCare can help create customized care plans to help patients recover from strokes with in-home care. We provide a variety of therapy and nursing services to address the unique and complex needs of each patient, including:

  • Speech therapy
    • Communication
    • Speech production
    • Language skill recovery
    • Swallowing impairment
    • Cognitive functioning
    • Task sequencing
    • Problem solving
    • Planning and organization
    • Feeding
  • Occupational therapy
    • Range of motion
    • Bathroom assessment and set-up
    • Activities of daily living re-training
    • Assistive equipment training and set-up
    • Adaptive equipment management
    • Neuro-developmental therapy (NDT)
    • Range of motion
    • Fine motor coordination
    • Energy conservation
    • Splinting
  • Physical therapy
    • Home safety assessment and set-up
    • Assistive equipment training and set-up
    • Neuromuscular re-education
    • Proprioceptive neuromuscular facilitation
    • Range of motion
    • Muscle strengthening
    • Electrical stimulation for muscle re-education
    • Soft tissue mobilization
    • Balance training
    • Functional gait training
    • Positioning
    • Bed mobility
    • Pain management
  • Nursing interventions
    • Medication reconciliation and management
    • Nutrition counseling
    • Disease process education
    • Bowel/bladder program training
    • Late life depression

1 “Post-Stroke Rehabilitation Fact Sheet”, NINDS. NIH Publication No. 11-4846. http://www.ninds.nih.gov/disorders/stroke/poststrokerehab.html

Behavioral Health

At AccentCare, we believe in treating the whole patient. This is especially important for those who may be suffering from anxiety, depression or dementia. Our caregivers can provide much needed support to help address the emotional and social needs of those we serve, while helping them maintain independence and quality of life in the comfort of home. Our caring staff can assist with:

  • Activities of daily living to ensure health, hygiene and safety
  • Companionship and conversation to deter loneliness
  • Transportation to appointments, errands and social activities

Our Behavioral Health Nurses provide:

  • Supportive counseling
  • Medication management
  • Therapeutic techniques, including–
    • Cognitive Behavioral Therapy
    • Problem Solving Therapy
    • Grief Therapy
    • Interpersonal Therapy
    • Positive Psychology Therapy
  • Additional support to family caregivers who may experience physical and emotional stress
Dementia

AccentCare can help address dementia behaviors, while helping to ensure a safe environment to help you or your loved one remain in the comfort of home for as long as possible. Our program for dementia care includes:

  • Assessment and treatment of behavioral and psychological symptoms of dementia as well as physical manifestations
  • Medication management
  • Cognitive behavioral therapy
  • Utilization of cognitive training, muscle memory and validation therapy strategies
  • Adoption of your loved one’s perspective by providing a supportive social environment
  • Caregiver training and support strategies

When your loved one has access to skilled healthcare professionals at home, it improves your quality of life too. We provide supportive counseling for caregivers who may feel overwhelmed and alone, in addition to training and support strategies to help you cope with the potential stress of caring for a loved one with dementia. When you have support, you can spend less time worrying about how to provide care, and more time appreciating that your loved one is being cared for at home with professional assistance.

We Honor Veterans
  • We understand Veterans may have unique needs at the end of life. With that in mind, we provide specialized services for our Veteran patients that includes:
    • A Veteran-to-Veteran Volunteer program
    • Transitioning Veterans across venues of care, including VA medical centers
    • Assistance for Veterans and families to access benefits
  • In partnership with We Honor Veterans, a program of the National Hospice and Palliative Care Organization and the Department of Veterans Affairs, most of our offices have achieved a Level Four standing, the highest distinction awarded. Through this partnership, we have taken a number of actions, including:
    • Conducting Veteran-specific outreach presentations
    • Maintaining a relationship with a designated VA contact at the nearest VA medical or community clinic
    • Integrating the Military History Checklist into our admission procedures
    • Actively participating in local, regional and statewide partnerships
    • Maintaining policies and procedures reflecting commitment and service to veterans

To learn more about We Honor Veterans, visit http://www.wehonorveterans.org/

ADDITIONAL RESOURCES

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Home Healthcare Overview

The Home Healthcare Overview provides a summary of our care services, including skilled home healthcare, private duty nursing, personal care services and hospice care. Download the overview as a resource for yourself, or to aid in discussions with your loved ones or physician.

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MEDICARE AND MEDICAID RESOURCES

Learn more about how Medicare and Medicaid assist with coverage for home healthcare services.

To talk to one of our care professionals today to learn more about what services may be available to you call 1-800-834-3059.